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12-0870 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 •tt 4 4 " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number:t 12-0 0 00 0870 Property Address: 81479 GOLDEN POPPY WY APN: 764-280-999-123 -300236- Application description: POOL - RESIDENTIAL Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 28000 Applicant: Architect or Engineer: p UC CO NTRATR'S DECLARATION I hereby ajfirmiunder penalty of perjury that I icensed under provisions of Chapter 9 (commencing with Section 7 lei f of Division 3 of the Businepe-atAFrotessionals Code, and my License is in full force and effect. Lice C,53/ License No.: 658996 DDtate: 'v ntractor: . OWNER -BUILDER DECLARATION nalty of perjury that I xempt from the Contractor's State License Law for the I hereb aff m under pe following reason (Sec. 7031.5, Business and P essions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair an structure, prior to its issuance, also requires -the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: 1 _ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the - improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractorls) licensed pursuant to the Contractors' State License Law.). ' I _ 1 I am exempt under Sec. , BAP.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT Owner: DARRELL SCHUETZLE 81479 GOLDEN POPPY LA QUINTA, CA 92253 Contractor: FAMILY POOLS CONST P O BOX 283 LA QUINTA, CA 9224 (760)564-3655 Lic. No.: 658996 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/03/12 Li AUG 20?2 I OF LA QUINTA ------------------ WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Y I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for wh' this permit is issued. My workers' compensation insurance carrier and policy number are . Carrier STATE FUND P ylumber 1344032-2012 _ I certify that, in the performs Wthe work for which this permit is issued, I shall not employ any person in any manners t become subject to the workers' compensation laws of California, and agree that, if I sho 3700 of the L or C , I t plicant: ome subject to the workers' compensation provisions of Section forthwi comply with those provisions. WAR IN FAILURE TO SECURE WORK 'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUB ECT AN EMPLOYER TO CRIMINAL LTIES AND CIVIL FINES UP TO ONE HUNDRED -THOUSAND DOLLARS ($100,000). IN ADDITION Tot COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose reques d for whose benefit work is performed under or pursuant to any permit issued t of this application, the owner, and the applicant, each agrees to, and shall defend, Inde a u and hold harmless the City of La Quinta, its officers, agents and employees for any act or fission related to the work being performed under or following issuance of this per 2. Any permit issued as a result of this application ec s null and void if work is not commenced within 180 days from date of issuance of suc rm t, or cessation of work for 180 days will subject permit to cancellation. I certify that 1 have read this application and state that a bov information is correct. I agree to comply with all city an co y ordinances and state laws relating to bui c truction, and hereby authorize representatives 40fWenter he above-mentioned grope y tion purposes. (Applicant or Agent): I LQPERMIT Application Number . . . . . 12-00000870 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 271.50 Plan Check Fee 176.48 Issue Date . . . . Valuation 28000 Expiration Date 1/30/13 Qty Unit Charge Per Extension BASE FEE 252.00 3.00 6.5000 THOU BLDG 25,001-50,000 19.50 ---------------------------------------------------------------------------- Permit . . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50' Issue Date . . . . Valuation 0 Expiration Date 1/30/13 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 11.0000 EA MECH FURNACE >100K 11.00 Permit . . . ELEC POOL PERMIT -RES Additional desc . Permit Fee . . 45.00 Plan Check Fee 11.25 Issue Date Valuation . . . . 0 Expiration Date 1/30/13 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 30.0000 EA ELEC PRIVATE SWIMMING POOL 30.00 ---------------------------------------------------------------------------- Permit . . . PLUMBING Additional desc . Permit Fee . . . . 33.00 Plan Check Fee 8.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 1/30/13 Qty Unit Charge Per Extension BASE FEE 15.0.0 2.00 .6.0000 EA PLB FIXTURE 12.00 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 ---------------------------------------------------------------------------- Special Notes and Comments .POOL/SPA, FIREPIT & GAS LINE FOR Application Number . . . . . .12-00000870 ---------------------------------------------------------------------------- Special Notes and Comments FIREPIT. ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED. 2010 CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 2.00 Fee summary Charged ---------- Paid Credited -------------------- Due --------------------------- Permit Fee Total 375.50 .00 .00 375'.50 Plan Check Total 202.48 .00 .00 202.48 Other.Fee Total 2.00 .00 .00 2.00 Grand Total 579.98 .00 .00 579.98 LQPERMIT 14'-6" Existing G Wall 7'-6" . o •E G' Wall 4' 75pa, + 18° 25'-6" — Gas for + 15" Fire Pit CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATEL*IZ- gY+ DARRELL 5CH U ETZLE 81479 Golden Poppy Way Trilogy Country Club Quinta 0 I/8"= 1' 0 Construction P0015 Spas Fountaln5 (760) 5 64-3 6 5 5 Lic. #658996 Bin # City of La Quinta Building 8z Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit #D Project Address: 7 FT 7- 71 Owner's Name: A. P. Number. Address: 02po Legal Description: City, ST, Zip: 7j Contractor: ), Telephone: /�d Address: , (Ji r 93 Project Description: City, ST, Zip: r 't %fii.� Sx.`l�y�:..''�yf�•�y\vY;i��r'!�: Telephon State Lic. # : City Lic. #; Arch., Engr., Designer. Address: City., ST, Zip: Telephone: Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo State Lic. #: Name of Contact Person: 1' Sq. Ft: #Stories: # Units: Telephone # of Contact Person: Estimated Value of Project t APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted 3 Item Amount Structural Cafes. Reviewed, ready for corrections Plan Check Deposit Truss Cafes. Called Contact Person Plan Check Balance Tide 24 Catcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan, 1 2°° Review, ready for corrections/issue Electrical Subcontactor,J -st Called Contact Person Plumbing Grant Deed Plans picked up S-M.L H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees